Quality of BLS decreases with increasing resuscitation complexity

Rittenberger, Jon C.; Guimond, Guy; Platt, Thomas E.; Hostler, David

doi:10.1016/j.resuscitation.2005.07.019

Cited by 41 publications

(20 citation statements)

References 6 publications

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“…34,37,41 Other researchers have recommended that AED implementation alone was advantageous and facilitated by not including CPR training. 3,42,43 However, even brief training can be helpful in improving speed of shock delivery and electrode pad placement. 31,35 Guidelines that were recently released by International Liaison Committee on Resuscitation and Resuscitation Council UK have both reiterated the fact that AED can be used safely and effectively by laypeople without previous training.…”

Section: Discussionmentioning

confidence: 99%

AED training and its impact on skill acquisition, retention and performance – A systematic review of alternative training methods

et al. 2011

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Section: Discussionmentioning

confidence: 99%

AED training and its impact on skill acquisition, retention and performance – A systematic review of alternative training methods

et al. 2011

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“…Second, the candidates were adolescents and lung vital capacity increased between initial training and reassessment; this might have contributed to the observed increase in the end points of the study. Third, this study focused on ventilation only and the results may not apply when they are combined with chest compressions,25 so further studies should incorporate chest compressions in the study protocol and investigate optimal training intervals and ventilation devices. Fourth, the candidates knew that they were being reassessed which could lead to exaggerated ventilation efforts.…”

Section: Discussionmentioning

confidence: 99%

Retention of mouth-to-mouth, mouth-to-mask and mouth-to-face shield ventilation

Paal

Falk²,

Gruber

et al. 2008

Emergency Medicine Journal

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Background: Retention of mouth-to-mouth, mouth-tomask and mouth-to-face shield ventilation techniques is poorly understood. Methods: A prospective randomised clinical trial was undertaken in January 2004 in 70 candidates randomly assigned to training in mouth-to-mouth, mouth-to-mask or mouth-to-face shield ventilation. Each candidate was trained for 10 min, after which tidal volume, respiratory rate, minute volume, peak airway pressure and the presence or absence of stomach inflation were measured. 58 subjects were reassessed 1 year later and study parameters were recorded again. Data were analysed with ANOVA, x 2 and McNemar tests. Results: Tidal volume, minute volume, peak airway pressure, ventilation rate and stomach inflation rate increased significantly at reassessment with all ventilation techniques compared with the initial assessment. However, at reassessment, mean (SD) tidal volume (960 (446) vs 1008 (366) vs 1402 (302) ml; p,0.05), minute volume (12 (5) vs 13 (7) vs 18 (3) l/min; p,0.05), peak airway pressure (14 (8) vs 17 (13) vs 25 (8) cm H 2 O; p,0.05) and stomach inflation rate (63% vs 58% vs 100%; p,0.05) were significantly lower with mouth-tomask and mouth-to-face shield ventilation than with mouth-to-mouth ventilation. The ventilation rate at reassessment did not differ significantly between the ventilation techniques. Conclusions: One year after a single episode of ventilation training, lay persons tended to hyperventilate; however, the degree of hyperventilation and resulting stomach inflation were lower when a mouth-to-mask or a face shield device was employed. Regular training is therefore required to retain ventilation skills; retention of skills may be better with ventilation devices.

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“…Performance of professional paramedics has deteriorated with growing complexity of a simulated resuscitation scenario [9 ]. Adding a simple automated external defibrillator (AED) in this prospective observational study led to significantly poorer ventilation quality, fewer ventilations and chest compressions per minute plus a decrease in correct compression depth.…”

Section: Discussionmentioning

confidence: 93%

Feedback during cardiopulmonary resuscitation

Böhn

Gude

2008

Current Opinion in Anaesthesiology

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Since effective basic life support is crucial for victims of cardiac arrest, recent findings that cardiopulmonary resuscitation quality provided by professionals fails to achieve recommended levels is not acceptable. Efforts need to be made in order to improve cardiopulmonary resuscitation quality and to support rescuers by real-time feedback. The technical elements of cardiopulmonary resuscitation feedback need to be carefully studied before being introduced into practice.

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Quality of BLS decreases with increasing resuscitation complexity

Cited by 41 publications

References 6 publications

AED training and its impact on skill acquisition, retention and performance – A systematic review of alternative training methods

AED training and its impact on skill acquisition, retention and performance – A systematic review of alternative training methods

Retention of mouth-to-mouth, mouth-to-mask and mouth-to-face shield ventilation

Feedback during cardiopulmonary resuscitation

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